NPIMap

Organization Active NPI

American Behavioral Health Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Spokane Valley, WA
National Provider Identifier
1962991661
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.
Practice address
12715 E Mission Ave
Spokane Valley, WA 99216-1027
Phone
(509) 232-5766
Fax
(509) 321-5472
NPI assigned
May 8, 2018
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tiffany Dawn Stretch, AO
Title
Cfo
Phone
(509) 232-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X WA Primary

Addresses

Primary practice location

12715 E Mission Ave
Spokane Valley, WA 99216-1027

Mailing address

PO Box 141106
Spokane Valley, WA 99214-1106
Phone (509) 232-5766

Other names 1

  • American Behavioral Health Systems - Mission Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201000748 WA Part B Supplier - Clinic/Group Practice 9335550052 Receives reassigned benefits from 21 practitioners
4 other NPIs on this enrollment
Practice locations: Wenatchee, WA; Spokane Valley, WA; Spokane, WA; Port Angeles, WA; Chehalis, WA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2195594American Behavioral Health Systems, Inc -Mission12715 E Mission Ave, Spokane Valley, WA 99216Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
American Behavioral Healt Systems Inc15 organizations share this tax ID, including this one
Part of
American Behavioral Healt Systems Inc

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 119

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 119

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1962991661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141106",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992141106",
            "telephone_number": "509-232-5766",
            "fax_number": "509-321-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12715 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161027",
            "telephone_number": "509-232-5766",
            "fax_number": "509-321-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "STRETCH",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-232-5766",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Behavioral Health Systems - Mission",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.